Near Fine with no dust jacket Hardcover 280 pages; 4to (11") 28 cm; Full black cloth, gilt spine title, extensive bibliography, chapter endnotes, 3 tables, 4 appendixes, glossary, [xxi] + 280 pages printed mimeographically, one side only, as issued. ; Doctoral dissertation. Highly detailed analysis of US laws passed in 1921, 1946, and 1963, aimed at 'reducing pregnancy-related deaths in some women', and 'pregnancy-related disabilities in some children', and how these laws have changed the understanding of pregnancy from 'a normal, physiological process' to a 'pathology requiring physician-managed technology'. Authored by registered nurse-midwife, professor of public health at University of Michigan. ; Warm note penned on front endpaper in ballpoint, to two individuals who 'helped make this possible', SIGNED by author Joan. Extremely scarce, often cited. ; 1 item laid in: Article by author on transitioning from Nurse to Nurse-Midwife, published 1976, with editorial on same, 7 pgs.

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